Interest of Pain Assessment by the Family of Patients in Limiting and Stopping Active Treatment Process Admitted in ER. Study DOFAMILA
试验速览
- 阶段
- 不适用
- 入组人数
- 200
- 试验地点
- 1
- 主要终点
- simplified verbal scale
研究概览
简要总结
Decisions to limit and stop active therapeutics are common in the emergency unit. They are framed by the Leonetti law of 22 April 2005 recommending the refusal of unreasonable obstinacy and care of the patient's pain in later life. The pain assessment is an issue for these patients whose in majority, are not communicating. Moreover, no specific tool and the teams in charge, not knowing the patient make the recognition and treatment of pain symptoms very complex. This is the potential interest of directly involving the family or the person of confidence in this management , the first step being the detection and evaluation of pain.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Adults older than 18
- •non communicating patients admitted in emergency ward
- •unanimous decision of stopping and limiting active treatment according to Leonetti's law of April 22nd, 2005
- •Presence of a member of the patients family or one of his legal representative
排除标准
- •no health insurance
结局指标
主要结局
simplified verbal scale
时间窗: admission time in ER (Day 1)
A simplified verbal scale with 5 levels used by caregivers and family to evaluate the intensity of pain, "painless", "little sore", "moderately painful", "very painful", "extremely painful". Compare the pain assessment by the family or the person of trust and care teams within a population of non-communicating patients for whom a decision of limiting and stopping active treatment is taken emergency ward.
次要结局
- Algoplus scale(at admission (Day 1))
- CAESAR scale(3 weeks after admission)
- PAINAD scale(at admission (Day 1))
- simplified verbal scale(24 hours after the decision of limiting or stopping active treatment in emergencies)